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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 283010020
Report Date: 06/23/2021
Date Signed: 06/23/2021 12:18:25 PM

Document Has Been Signed on 06/23/2021 12:18 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
FACILITY NAME:SOLIS, RACHELL FCCHFACILITY NUMBER:
283010020
ADMINISTRATOR:SOLIS, RACHELLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 637-4207
CITY:NAPASTATE: CAZIP CODE:
94558
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 12DATE:
06/23/2021
TYPE OF VISIT:Post LicensingUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Rachell Solis, LicenseeTIME COMPLETED:
12:30 PM
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A Post Licensing inspection was made to the facility by Licensing Program Analyst (LPA) Kevin O'Connell. A review of staff records on 06/23/21 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. There is currently one adult living in the home.
During today’s inspection the home and grounds were toured. The licensee and two assistants were supervising twelve children, and operating within the licensed capacity and ratio requirements. No children were observed left in any parked vehicle. The facility’s operating hours are 07:30AM to 04:30PM, Monday–Friday. The off-limits areas of the home are bedroom #3 and the garage, and were made inaccessible by means of a lock handle cover and a strap latch. The home was clean and orderly, and was at a comfortable indoor temperature. There were safe toys and equipment available for children. There is a working telephone in the home. The licensee has current pediatric CPR and First Aid certification, which expire on 08/2021. Items which could pose a danger to children (detergents, cleaning compounds, medications, etc.) were stored out of the reach of children. Licensee states that there are no poisons but can lock them in an outdoor shed. The fireplace has been made inaccessible with a secured screen. The wood burning stove was secured with a strap latch. There is a working smoke detector, carbon monoxide detector and a 3A40BC charged fire extinguisher. The Licensee states that there are no firearms or dangerous weapons and none were observed.
The children use the back yard as the outdoor play area and it is fully fenced. Three staff files were reviewed at 11:30am and contained valid Mandated Reporter Certificates and immunizations.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Kevin O'Connell
LICENSING EVALUATOR SIGNATURE: DATE: 06/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/23/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
FACILITY NAME: SOLIS, RACHELL FCCH
FACILITY NUMBER: 283010020
VISIT DATE: 06/23/2021
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The Licensee stated that there are no water features and none were observed. Ten children's records were reviewed at 11:20AM; required emergency information was observed to be on file.
The following information regarding ADA was provided: US Department of Justice toll-free ADA Information Line at (800) 514-0301 (voice)/(800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, www.ada.gov/childqanda.htm. This report was reviewed and discussed with the licensee.
All licensing reports are public information and must be made available upon request for at least three years.

Notice of Site Visit shall be posted for 30 days from today's visit.

No Title 22 violations were cited during today's inspection.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Kevin O'Connell
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2021
LIC809 (FAS) - (06/04)
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